Nur 1460 OCC-Quiz 2/3 with 100% Solved 2024

Nur 1460 OCC-Quiz 2/3 with 100% Solved 2024 What are the three layers of the skin? - Answer- Epidermis, dermis and subcutaneous What is pruritis? - Answer- Itching What are some examples of subjective data to collect from assessing the patient's skin? - Answer- (This is what they say)-previous history, change in pigment, change in moles, moisture/dryness, bruising, rash, pruritis, lesions, meds, hair loss, change in nails, hazards they work with, self-care behaviors (like using sunscreen, etc) When inspecting and palpating the skin, the nurse should look at the ____ of the skin (to assess for oxygenation and see if it's appropriate for their ethnicity) - Answer- color When checking the skin for fluid overload what are we checking for and how do we rate that? - Answer- edema and it ranges from 0-4+ What does mobility and tugor tell the nurse about a patient's skin? - Answer- Checking for dehyration (mobility is the stretching of the skin up and turgor is the recoil) What are cherryangiomas? - Answer- Raised cherry colored papules (look like bright red moles) When assessing a lesion on a patient we want to note the size, location, is it raised, is there any excudate or odor and is there a ____ - Answer- pattern to it What is hyperemia? - Answer- red, bright pink skin (or purpleish on dark skin) What is vitiligo? - Answer- patchy milky white spots often symmetric bilaterally caused by depigmentation of the skin What is albinism? - Answer- Whitish pink coloring of the skin;absence of pigment melanin What does pallor mean? - Answer- Paleness to the skin-can be caused by anemia or shock What is an annular lesion? - Answer- circular lesions that begin in the center and spread (like ringworm) What is a confluent lesion? - Answer- These are lesions that run together (like uticaria) What is a discrete lesion? - Answer- An individualized lesion that remains separate and distinct What do you call a cluster of lesions such as vesicles of contact dermatitis? - Answer- Grouped What do you call twisted, coiled or spiral lesions? - Answer- Gyrate What do you call lesions that resemble the iris of the eye and are concentric rings - Answer- Iris or target Lesions that take a form of a scratch, streak, line or stripe are ____ - Answer- Linear Annular lesions that grow together are ______ - Answer- polycyclic Lesions that take a linear arrangement along a nerve route like shingles - Answer- zosteriform What is a macule? - Answer- Spot that has a definite change in color and is flat, such as freckles, petechia or measles What is a papule? - Answer- Similar to a macule but raised and can be palpated such as a mole or mole (these are less than 1 cm) What is a macule that is larger than 1 cm? - Answer- Patch